In the Nation's Compelling Interest Ensuring Diversity in the Health-Care Workforce (2004) / Chapter Skim
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7 Mechanisms to Garner Support for Institutional and Policy-Level Diversity Initiatives
7 Mechanisms to Garner Support for Institutional and Policy-Level Diversity Initiatives
Pages 203-212
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students who are highly motivated to enter heath professions careers. Greater study of and attention to these barriers may therefore assist efforts to create greater opportunities for URM students to participate in health professions training and enter health professions careers.
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Department of Education to encourage the development of such standards; · The failure of HPEIs to recognize the need to develop and regularly evaluate comprehensive strategies to improve the institutional climate for diversity; and · The lack of information for key constituency groups -- such as healthcare consumer groups, leaders of communities served by academic health centers, and others -- regarding diversity among the health professionals that serve them and the potential benefits of diversity for health-care consumers. These institutional and policy-level barriers to greater URM participation in health professions can be reduced through a series of interventions aimed at a range of stakeholders.
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Needed Data and Research Efforts Implementation of these strategies should begin with efforts to collect data and conduct additional research to assess diversity among health professionals and in health professions education and to further identify the benefits of diversity for health-care service delivery. As noted earlier in this report, the availability of data regarding the representation of racial and ethnic minority groups in health professions varies considerably, as data on URM participation in medical education are generally more systematic and widely available than in other health professions disciplines.
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Recommendation 7-1: Additional data collection and research are needed to more thoroughly characterize URM participation in the health professions and in health professions education and to further assess the benefits of diversity among health professionals, particularly with regard to the potential economic benefits of diversity. Educational Strategies Increasing support for diversity efforts also requires strategies to educate health professions leaders, faculty, administrators, students, and others in the HPEI community regarding the benefits of greater diversity among health professionals.
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Public and private groups who share the goal of increasing diversity in health professions should engage in coordinated efforts to inform the public of the importance of diversity in health professions. These efforts should be directed to a range of individuals and groups that are affected by insufficient attention to diversity among health professionals, including grassroots advocacy and health-care consumer groups; businesses and corporations, particularly those that employ a racially and ethnically diverse workforce; educators, including primary and secondary school teachers and others involved in "pipeline" efforts; students; organized labor; elected officials at all levels of government; state and local health departments; religious groups, including churches, synagogues, temples, and others concerned with community health; health and education philanthropic organizations; as well as many other public and private groups.
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For example, WBGH recently introduced a computer-based evaluation tool to assist health plan purchasers in assessing efforts by health plans to reduce racial and ethnic disparities in care, including tools to assess the diversity of health plan providers. These local and national efforts share a common goal: to increase understanding of the imperative to enhance diversity among health professionals and to build consensus among a range of stakeholders regarding steps that should be taken toward this goal.
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From page 209... ...
The New York City site is attempting, through the reauthorization of the Health Care Reform Act (HCRA) , which governs Medicaid reimbursement rates for hospitals, hospital uncompensated care pool financing, and state allocations for the cost of training medical residents, to gain stakeholder support for public policy designed to promote diversity in medical education and the physician workforce.
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Recommendation 7-3: Broad coalitions of stakeholder organizations- including health professions leaders, health-care consumer groups, grassroots and community organizations, business leaders, and oth ers -- should vigorously encourage HPEIs, their accreditation bodies, and federal and state sources of health professions student financial aid to adopt policies to enhance diversity among health professionals. SUMMARY Several mechanisms offer promise to garner support among a diverse array of stakeholder groups to increase diversity among health professions.
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From page 211... ...
In addition, efforts to develop coalitions of stakeholder groups can help to create a political impetus for federal, state, and local strategies to increase diversity. Broad coalitions of stakeholder organizations -- including health professions leaders, health-care consumer groups, grassroots and community organizations, business leaders, and others -- should encourage HPEIs, their accreditation bodies, and federal and state sources of health professions student financial aid to adopt policies to enhance diversity among health professionals.
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